Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy
Correction osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. The purpose of this study was to analyze short- and mid-term results in hallux valgus patients who underwent a Scarf osteotomy. The s...
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2009-05-01
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| Series: | Orthopedic Reviews |
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| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/165 |
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| author | Marcus Jaeger Michael Schmidt Alexander Wild Bernd Bittersohl Susanne Courtois Troy G. Schmidt Rüdiger Krauspe |
| author_facet | Marcus Jaeger Michael Schmidt Alexander Wild Bernd Bittersohl Susanne Courtois Troy G. Schmidt Rüdiger Krauspe |
| author_sort | Marcus Jaeger |
| collection | DOAJ |
| description | Correction osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. The purpose of this study was to analyze short- and mid-term results in hallux valgus patients who underwent a Scarf osteotomy. The subjective and radiological outcome of 131 Scarf osteotomies (106 hallux valgus patients, mean age: 57.5 years, range: 22-90 years) were retrospectively analyzed. Mean follow-up was 22.4 months (range: 6 months-5 years). Surgical indications were: intermetatarsal angle (IMA) of 12-23°; increased proximal articular angle (PAA>8°), and range of motion of the metatarsophalangeal joint in flexion and extension >40°. Exclusion criteria were severe osteoporosis and/or osteoarthritis. The mean subjective range of motion (ROM) of the great toe post-surgery was 0.8±1.73 points (0: full ROM, 10: total stiffness). The mean subjective cosmetic result was 2.7±2.7 points (0: excellent, 10: poor). The overall post-operative patient satisfaction with the result was high (2.1±2.5 points (0: excellent, 10: poor). The mean hallux valgus angle improvement was 16.6° (pre-operative mean value: 37.5°) which was statistically significant (p<0.01). The IMA improved by an average of 5.96° from a pre-operative mean value of 15.4° (p<0.01). Neither osteonecrosis of the distal fragment nor peri-operative fractures were noted during the follow-up. In keeping with our follow-up results, the Scarf osteotomy approach shows potential in the therapy of hallux valgus. 筻 |
| first_indexed | 2024-12-16T11:17:12Z |
| format | Article |
| id | doaj.art-aa50c51fa2754221bcc4537070666416 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-16T11:17:12Z |
| publishDate | 2009-05-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-aa50c51fa2754221bcc45370706664162022-12-21T22:33:34ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642009-05-0111e4e410.4081/or.2009.e426Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomyMarcus Jaeger0Michael Schmidt1Alexander Wild2Bernd Bittersohl3Susanne Courtois4Troy G. Schmidt5Rüdiger Krauspe6Department of Orthopaedics, Heinrich-Heine University Medical SchoolOrthopedic Clinic, Waldhof-Zentrum KronbergDepartment of Orthopedics, Hessing Stiftung, Hessingstraße 17, 86199 AugsburgDepartment of Orthopedics, Heinrich-Heine University Medical School, DuesseldorfDepartment of Orthopedics, Heinrich-Heine University Medical School, DuesseldorfDepartment of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, USADepartment of Orthopedics, Heinrich-Heine University Medical School, DuesseldorfCorrection osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. The purpose of this study was to analyze short- and mid-term results in hallux valgus patients who underwent a Scarf osteotomy. The subjective and radiological outcome of 131 Scarf osteotomies (106 hallux valgus patients, mean age: 57.5 years, range: 22-90 years) were retrospectively analyzed. Mean follow-up was 22.4 months (range: 6 months-5 years). Surgical indications were: intermetatarsal angle (IMA) of 12-23°; increased proximal articular angle (PAA>8°), and range of motion of the metatarsophalangeal joint in flexion and extension >40°. Exclusion criteria were severe osteoporosis and/or osteoarthritis. The mean subjective range of motion (ROM) of the great toe post-surgery was 0.8±1.73 points (0: full ROM, 10: total stiffness). The mean subjective cosmetic result was 2.7±2.7 points (0: excellent, 10: poor). The overall post-operative patient satisfaction with the result was high (2.1±2.5 points (0: excellent, 10: poor). The mean hallux valgus angle improvement was 16.6° (pre-operative mean value: 37.5°) which was statistically significant (p<0.01). The IMA improved by an average of 5.96° from a pre-operative mean value of 15.4° (p<0.01). Neither osteonecrosis of the distal fragment nor peri-operative fractures were noted during the follow-up. In keeping with our follow-up results, the Scarf osteotomy approach shows potential in the therapy of hallux valgus. 筻http://www.pagepress.org/journals/index.php/or/article/view/165Hallux Valgus, Foot, Scarf Osteotomy, follow-up after treatment |
| spellingShingle | Marcus Jaeger Michael Schmidt Alexander Wild Bernd Bittersohl Susanne Courtois Troy G. Schmidt Rüdiger Krauspe Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy Orthopedic Reviews Hallux Valgus, Foot, Scarf Osteotomy, follow-up after treatment |
| title | Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy |
| title_full | Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy |
| title_fullStr | Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy |
| title_full_unstemmed | Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy |
| title_short | Z-osteotomy in hallux valgus: clinical and radiological outcome after Scarf osteotomy |
| title_sort | z osteotomy in hallux valgus clinical and radiological outcome after scarf osteotomy |
| topic | Hallux Valgus, Foot, Scarf Osteotomy, follow-up after treatment |
| url | http://www.pagepress.org/journals/index.php/or/article/view/165 |
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